Open AccessFibrosing mediastinitis mimicking sarcoidosis
Author(s) -
Galván Marta Ferrer,
Portal José Antonio Rodríguez,
Gorarredona María Pilar Serrano,
Izquierdo Lourdes Gómez
Publication year - 2015
Publication title -
the clinical respiratory journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.789
H-Index - 33
eISSN - 1752-699X
pISSN - 1752-6981
DOI - 10.1111/crj.12107
Subject(s) - medicine , histoplasmosis , mediastinum , radiology , sarcoidosis , pathological , physical examination , mediastinal lymphadenopathy , fibrosis , pathology , computed tomography
Fibrosing mediastinitis ( FM ), also called sclerosing mediastinitis or mediastinal fibrosis, is a rare disease characterized by excessive fibrotic reaction in the mediastinum and may compromise the airway, the great vessels and other mediastinal structures, with a morbidity directly related to the location and extent of fibrosis. The cause is not always known but is often the result of a granulomatous disease, most often the histoplasmosis. We report a 43‐year‐old woman with a history of tuberculosis infection 23 years ago. She attended the pulmonology clinic for cough and dyspnea. Physical examination revealed jugular venous distention at 90°. In computed tomography scan of the chest with constrast (c/c), we observed a mediastinal nodal cast provoking cava compression and obliteration of main and intermediary right lobar bronchus. The pathological examination was FM .